Providence Health & Service Washington
NPI #1104024348 in Morton, Washington
Provider Information
- NPI Number
- 1104024348
- Entity Type
- Organization
- Organization Name
- Providence Health & Service Washington
- Primary Specialty
- Psychologist - Addiction (Substance Use Disorder)
- Enumeration Date
- Jul 10, 2007
- Last Updated
- Dec 22, 2010
Practice Location
- Address
- 218-A MAIN STREET
- City
- Morton
- State
- Washington
- ZIP Code
- 98356-0000
- Phone
- (360) 496-6216
Authorized Official
- Name
- NICOLE QUINN
- Title
- PAYOR CREDENTIALING MANAGER
- Phone
- (425) 525-6715
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychologist - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
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